Neurocare Center PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD2009-0573 Issued in NM

Legal business name

NEUROCARE CENTER PC

Practice address

923 9TH St
Suite a
Alamogordo, NM 88310-6431

Phone

(575) 439-9000

Fax

(575) 439-9144

NPI assigned

Aug 26, 2009

Last updated

Oct 16, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Madhuri Koganti, M.D.

Title

Owner

Phone

(575) 439-9000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1235362195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 9TH ST",
            "address_2": "SUITE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106431",
            "telephone_number": "575-439-9000",
            "fax_number": "575-439-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 9TH ST",
            "address_2": "SUITE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106431",
            "telephone_number": "575-439-9000",
            "fax_number": "575-439-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "KOGANTI",
        "authorized_official_first_name": "MADHURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-439-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2009-0573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467557124",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104895900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Neurology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.